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WALKER GIB SHIBLEY-STYER
NPI 1134974405
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 20, 2024PECOS Enrolled
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7711(503) 413-4898 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Apr 20, 2024 (2 updates tracked since 2024).

About Walker Gib Shibley-styer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALKER GIB SHIBLEY-STYER (NPI 1134974405) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134974405
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWALKER GIB SHIBLEY-STYER
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing AddressLegacy Good Samaritan Medical Center- Gme 1015 Nw 22ndPortland, OR 97210 · (503) 413-7711 · Fax (503) 413-4898
Phone(503) 413-7711
Fax(503) 413-4898
Sole ProprietorYes
Enumeration DateApril 20, 2024
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1134974405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 NW 22ND AVE, Portland, OR 97210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walker Gib Shibley-styer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TSYRIA SHIANN TANG DO
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7036
MARK A CRISLIP
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Multnomah County (503) 413-8258
COLTON PATRICK BONEY DO
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
NICKOLAS ROCKENBACK MD
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
CAROLYN N RHETT MD
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7260
BRIAN BATTALIA MD
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 464-9034
DR. JUDITH ANN RAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-8259
JENELLE LYNN STINSON PHARMD
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walker Shibley-styer's NPI number?

The NPI number for Walker Shibley-styer is 1134974405. It was assigned to this individual provider in the NPPES registry on April 20, 2024.

Where is Walker Shibley-styer located?

Walker Shibley-styer practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Walker Shibley-styer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Walker Shibley-styer enrolled in Medicare?

Yes. Walker Shibley-styer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walker Shibley-styer was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.